Vertical Transmission of Coronavirus is Possible During Pregnancy

In News

ICMR has issued guidelines for Management in Pregnant women with
COVID-19.

In Detail

The Indian Council of Medical Research (ICMR)
has evidence to suggest that pregnant women can transmit novel coronavirus to
her unborn baby.

ICMR issued general guidelines to obstetric
healthcare providers on the consequences of vertical transmission of COVID-19
and how necessary precautions are to be taken.

The guidelines say that the obstetric healthcare
practitioners should follow national health protocol.

They must notify COVID-19 cases and consider
antenatal and postnatal needs of mother and baby.

The guidelines also mention the appropriate use
and handling of PPE during labor, where chances of infection transmission are
high when the staff comes into contact with the body fluids.

ICMR recommends international norms that the
baby should be isolated after birth.

ICMR suggests that the facilities should
temporarily separate the newborn baby from a mother who is a COVID-19 infected
patient or a PUI as the transmission after birth through contact with
infectious respiratory secretions is a major risk.

On April 3, India’s
first baby with COVID-19 positive parents was born at AIIMS. Both the father
and the mother of the baby were COVID-19 positive patients, but the baby is
COVID-19 negative.

Vertical
Transmission

Vertical transmission refers to the transmission
of infection directly from mother to her child.

The transmission might occur before birth
(antennal stage), weeks immediately before or after birth (perinatal stage) or
after birth. This transmission can occur through breast milk, placenta, or
through direct contact.

Scientific Evidence on Vertical Transmission

Researchers from Wuhan University examined nine
pregnant women on February 12. The study shows that the characteristics of
COVID-19 pneumonia in pregnant women and non-pregnant adult patients were
similar. This shows that there is no evidence for intrauterine infection caused
by vertical transmission.

On February 22 at Renmin Hospital, Wuhan, a
woman with COVID-19 delivered a baby girl who was tested positive. The
researchers believe that the infection happened soon after birth or in the
womb. The lab results of the baby show liver injury and inflammation which
indirectly supports the possibility of vertical transmission.

In North Middlesex hospital in Enfield, a woman
with COVID-19 gave birth to a baby who had tested positive. But the doctors
where uncertain whether the infection was a result of vertical transmission or
caught after birth.

The US Center for Disease Control and Prevention
says that the vertical transmission of the disease is not possible. Only a few
babies are tested positive and it is not known whether the babies got infected
before or after the birth as the virus is not present in amniotic fluid, breast
milk or other samples.

Conclusion

The transmission of infection through vertical transmission is
probable even though the proportion of pregnancies affected and the
significance of neonate is not yet known.